Evidence map›Paper›PMID 41323656›Full record

SynthesisFrontiers in aging neuroscience2025

Correlation of cognitive dysfunctions and diffusion tensor MRI measures in subjects with RRMS.

Alessio Mirabile, Carla Susinna, Giovanni Luca Cipriano, Giangaetano D'Aleo, Carmela Rifici, Edoardo Sessa, Angelo Quartarone, Viviana Lo Buono

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in aging neuroscience, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Alessio MirabileIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Carla SusinnaIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Giovanni Luca CiprianoIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Giangaetano D'AleoIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Carmela RificiIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Edoardo SessaIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Angelo QuartaroneIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.
Viviana Lo BuonoIRCCS Centro Neurolesi "Bonino-Pulejo", Messina, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cognitive dysfunction is a common impairment observed in individuals with Multiple Sclerosis (MS), affecting key domains such as attention, information processing speed, memory, and executive functions. This deficit is typically identified through comprehensive neuropsychological assessments, which represent the gold standard for cognitive evaluation. In recent years, increasing efforts have been made to integrate neuropsychological findings with advanced neuroimaging techniques to better understand the neural substrates of cognitive dysfunction. Among these, Diffusion Tensor Imaging (DTI) has emerged as a valuable tool for investigating microstructural changes in white matter (WM) that may underlie cognitive deficits in MS. However, despite its clinical utility, the pathophysiological mechanisms contributing to cognitive impairment, particularly in subjects with Relapsing-Remitting MS (RRMS), remain complex and not yet fully understood. This review focuses on studies investigating WM alterations measured by DTI and their correlation with cognitive dysfunction as assessed through neuropsychological testing. Method: Papers were identified by searching in PubMed, Embase, Web of Science and Scopus databases from 2002 - the years, of first related published article, - to December 2024. From the initial 853, we included only 34 studies that met to eligibility criteria. Results: In subjects with RRMS, WM alterations, assessed through DTI, were found to correlate with cognitive dysfunction, as measured by standardized neuropsychological tests. These alterations were observed both in global WM and in specific regions, including the corpus callosum, thalamus, hippocampus, cerebellar structure, cingulum, and cerebral fascicles. Conclusion: These findings underscore the relevance of integrating neuropsychological assessment with advanced neuroimaging techniques, such as DTI, to enhance our understanding of cognitive impairment in RRMS. DTI-derived measures of WM integrity show promise as potential biomarkers of cognitive dysfunction, while cognitive profiling can help localize underlying neuropsychological damage. This integrated approach may improve early detection of cognitive alterations and support the development of targeted therapeutic strategies aimed at preserving cognitive functioning in individuals with MS. Systematic review registration: https://www.crd.york.ac.uk/PROSPERO/view/CRD420251073195, Identifier CRD420251073195.

Indexed as

cognitiondiffusion tensor imagingmultiple sclerosisneuropsychologyrelapsing-remitting multiple sclerosiswhite matter

Identifiers

PMID41323656
PMCPMC12657435

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.